{"id":28,"date":"2011-05-03T05:13:29","date_gmt":"2011-05-03T05:13:29","guid":{"rendered":"http:\/\/www.luisdelrio.com\/ateneo\/?page_id=28"},"modified":"2017-06-08T22:11:04","modified_gmt":"2017-06-08T22:11:04","slug":"formulario-de-inscripcion","status":"publish","type":"page","link":"http:\/\/www.ateneoesmex.com\/inicio\/formulario-de-inscripcion\/","title":{"rendered":"FORMULARIO DE INSCRIPCI\u00d3N"},"content":{"rendered":"<div style=\"clear: both;\">\n<p>Oficina administrativa: 21 21 67 20 \u00a0ext.101<\/p>\n<h5 style=\"float: right; text-align: right;\"><em>*Informaci\u00f3n requerida<\/em><\/h5>\n<\/div>\n\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - begin - FastSecureContactForm.com -->\r\n<div style=\"clear:both;\"><\/div>\n\r\n<div id=\"FSContact2\" style=\"width:700px;\">\r\n<form action=\"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/pages\/28#FSContact2\" id=\"fscf_form2\" method=\"post\">\r\n\n<div id=\"fscf_div_clear2_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_0\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\r\n    <div style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n      <label style=\"text-align:left;\" for=\"fscf_name2\">Nombre:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\r\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\r\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_name2\" name=\"full_name\" value=\"\"  \/>\r\n    <\/div>\r\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n      <label style=\"text-align:left;\" for=\"fscf_email2\">Correo Electr\u00f3nico:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_email2\" name=\"email\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_4\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_4\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_4\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_4\">RFC: **<\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_4\" name=\"rfc\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_5\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_5\">Dom\u00edcilio:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_5\" name=\"domicilio\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_6\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_6\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_6\">Ciudad:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_6\" name=\"ciudad\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_7\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_7\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_7\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_7\">C\u00f3digo Postal:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_7\" name=\"codigo-postal\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_8\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_8\">Tel\u00e9fono:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_8\" name=\"telefono\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_9\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_9\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_9\">Otros tel\u00e9fonos (Oficina, Fax, Celular):<\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_9\" name=\"otros-telefonos-oficina-fax-celular\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_10\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_10\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_10\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_10\">Nacionalidad:<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_10\" name=\"nacionalidad\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_11\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n\n    <div style=\"clear:both;\"><\/div>\nSi tiene ud. antecedentes de familiares (padres o abuelos) espa\u00f1oles <br \/>que llegaron emigrados a M\u00e9xico durante el siglo XX favor de llenar los siguientes espacios:\n\n    <div  id=\"fscf_label2_11\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_11\">Nombre y apellidos del familiar (inmigrante):<\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_11\" name=\"nombre-y-apellidos-del-familiar-inmigran\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_12\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_12\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_12\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_12\" name=\"llega-exiliado-durante-el-periodo-1939-1\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_12\">Llega exiliado durante el periodo 1939-1943<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_13\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_13\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_13\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_13\" name=\"llega-antes\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_13\">Llega antes<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_14\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_14\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_14\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_14\" name=\"llega-despues\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_14\">Llega despu\u00e9s<\/label><\/span>\n    <\/div>\n\n    <div style=\"clear:both;\"><\/div>\nLa cuota anual de asociado\u2028 en M\u00e9xico es de $1,500 M.N. y en el extranjero de \u20ac80.00 euros.<br \/>SE PUEDE DAR UNA APORTACI\u00d3N MAYOR \u2028COMO DONATIVO<br \/>para m\u00e1s informaci\u00f3n sobre nuestras formas de pago, entra <a href=\"informacion-bancaria\">aqu\u00ed<\/a>\u2028\u2028\n\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_15\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_15\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_15\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field2_15\">Inscripci\u00f3n y\/o Donativo (favor de indicar):<span style=\"padding-left:146px; text-align:left;\"> *<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <input style=\"text-align:left; float:left; padding:2px; margin-top:10px; font-size:14px;\" type=\"text\" id=\"fscf_field2_15\" name=\"inscripcion-yo-donativo-favor-de-indicar\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_16\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_16\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n\n    <div style=\"clear:both;\"><\/div>\nElige tu forma de pago:\n\n    <div  id=\"fscf_label2_16\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_16\" name=\"deposito-bancario\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_16\">Dep\u00f3sito bancario<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_17\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_17\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_17\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_17\" name=\"transferencia-interbancaria\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_17\">Transferencia Interbancaria<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear2_18\" style=\"clear:both;\">\n  <div id=\"fscf_div_field2_18\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label2_18\" style=\"width:205px; text-align:right; float:left; clear:left; padding-top:8px; padding-right:10px;\">\n    <\/div>\n    <div style=\"text-align:left; float:left; margin-bottom:-25px;\">\n      <span><input type=\"checkbox\" style=\"width:22px; height:32px;\" id=\"fscf_field2_18\" name=\"pago-en-linea\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field2_18\">Pago en l\u00ednea<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<div id=\"fscf_submit_div2\" style=\"padding-left:146px; text-align:left; float:left; clear:left; padding-top:8px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit2\" style=\"cursor:pointer; margin:0 0 0 300px;\" value=\"Enviar\"  onclick=\"this.disabled=true; this.value='Submitting...'; this.form.submit();\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_2\" value=\"1a3eabe1ccbde4c1de60ac5aa147b0af,1787096970\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"mailto_id\" value=\"1\" \/>\n\n<\/form>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - end - FastSecureContactForm.com -->\n\n","protected":false},"excerpt":{"rendered":"<p>Oficina administrativa: 21 21 67 20 \u00a0ext.101<br \/>\n*Informaci\u00f3n requerida<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_mi_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-28","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/pages\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":6,"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":5321,"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/pages\/28\/revisions\/5321"}],"wp:attachment":[{"href":"http:\/\/www.ateneoesmex.com\/inicio\/wp-json\/wp\/v2\/media?parent=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}